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1. Phenytoin (FEN-I-toyn) is one of the most frequently used anticonvulsant to control convulsions or seizures in the treatment of epilepsy. Remains the drug of choice for treatment of grand mal, temporal lobe, and psychomotor seizures [50]. Phenytoin is sold under many brand names, including Dilantin 4, Dilantin Kapseals 4, and Phenytoin. Phenytoin is among the top 20 most-prescribed drugs in the world.

2. Overgrowth of the gums is one of the most common side effects of phenytoin. It has been estimated that 40% to 50% of the fate of millions of people who are taking phenytoin will develop gum overgrowth in some degree. Reed appear to be more common in children and young adults.

3. Gingival overgrowth begins with the expansion of the interdental papillae.

a. Interdental papillae proliferate, forming a solid triangular tissue masses, who are from interdental areas.

B. Gradually, the enlarged nipples can fuse mesially and distal and partially cover anatomical crown with marginal gingival (Fig. 10-9). Reed most commonly seen on the face aspect of the front teeth.

c. In the presence of good plaque biofilm control, increased tissue pink and firm, and elastic consistence. In the presence of bad plaque biofilm control, cloth becomes red, swollen, and spongy. Anticonvulsants drugs ..

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